Niagara College Knights Women's Basketball

Prospective Student-Athlete Form

This form is not an official college application.

Email address *

First name *

Last name *

Address 1 *

Address 2

City *

Province

Postal Code

Country

Telephone

Cell Phone

Date of Birth

High School Name

Previous College/University (if applicable)

High School Address

High School Phone

High School Graduation Year

Intended Major

Grade 11 Average

Grade 12 Average

Have you ever applied here?

Yes
No

Do you intend to apply for financial aid?

Yes
No

Academic Honours

Sport(s) you are interested in

Height

Weight

Current Team (clubs, provincial, national, etc.)

Coach's Name

Coach's Phone

Position

Career Statistics (include personal bests)

Athletic Honours in Career

Other Honours

Team Highlights in Career

High School Graduation Year

Other Information

* = required field